Roux-en-gastric bypass in India: An Overview

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India (21st April, 2010): Roux-en-gastric bypass in India is very economical and affordable. Low cost but quality treatment attracts many patients of abroad to India for their treatment. The availability of best medical infrastructure in India is also one of the reasons for abroad patients to select India as a destination for their treatment. Medical tourism can be broadly defined as the provision of 'cost effective' private medical care in collaboration with the tourism industry for patients needing surgical and other forms of specialized treatments. The process of health care tourism is jointly facilitated by the corporate sector involved in medical and health care as well as the tourism industry - both private and public. Roux-en-gastric bypass in India is done with the help of most advanced technique available for the treatment.

What is Roux-en-gastric bypass?

Roux-en-gastric bypass is a surgical procedure which may be done for severe obesity. The procedure involves cutting the stomach in two to create a pouch out of the smaller proximal (near) portion of the stomach, attaching it to the small intestine, bypassing a large part of the stomach and the entire duodenum. The procedure may help with weight loss because the stomach pouch is too small to hold much food and skipping the duodenum reduces the absorption of fat which is rich in calories. The procedure may be done by laparoscopy. Roux-en-gastric bypass patients typically lose 50-75 percent of their initial excess weight, which is a sufficient weight reduction to cure or significantly reduce most of the life threatening medical conditions associated with severe clinical obesity.

How does Roux-en-gastric bypass works?

The physiological rationale behind Roux-en-gastric bypass obesity surgery is the same as for all stomach bypass surgeries. A bypass is designed to reduce the quantity of food which patients can eat, and second, to reduce the amount of nutrients and calories which can be absorbed from this reduced food-intake. To appreciate how the restriction element works, remember that a normal stomach can stretch to over 1000 ml. During the Roux operation, the surgeon creates a smaller stomach - dramatically reducing the amount of food which can be accommodated. In simple terms, the longer the functional length of the small bowel, the more absorption can take place. So, during Roux-en-gastric bypass surgery, the surgeon aims to bypass a significant section of this gastrointestinal tract thus reducing the patient's uptake of both nutrients and calories. The combination of less food consumed and fewer calories absorbed is what makes Roux-en-Y bypass such an effective weight loss treatment.

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